Proposal for Healthwatch Sunderland work programme

This form will help the Healthwatch Sunderland Board consider and prioritise health and social care issues identified by its local community. You will receive feedback from the Board regarding their decision about whether they can prioritise this issue.

If you need help completing this form, please let us know.

Name of organisation/group you are speaking on behalf of

(if appropriate)

Your Name:

Contact Telephone / Email:

What would you like the Board to consider for the work programme?

(please provide information regarding your proposal for inclusion on the work programme)

Who does this affect?

(please give details of approximate numbers of people affected)

Do you know if any other work around this topic has been carried out?

(for example, has an organisation already conducted some research around the topic?

If you know of other work carried out on this topic, what do you hope Healthwatch will be able to add by undertaking addl work

(eg is the work out of date or missed some people?)

What impact does this issue have on you, your group/community or people you know?

Why do you think the Healthwatch Board should consider this issue as a priority?

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